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Irregular periods and abdominal pain

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I am 23 years old, and the last time I had my period was probably a month before October 14th 2009. Since then, my fiancee and I have been trying for a baby. I've had 5 negative pregnancy tests, but recently I've had minor pain in my abdomen. I went to the ER and have had a pelvic exam, vaginal ultra sound, and abdominal ultra sound. They didn't find anything wrong with me. I am over weight, my eating habbits aren't exactly healthy. My periods are irregular, I started my first period when I was 13 years old, and when I reached 18 my periods turned irregular.

Is there a chance someone might know why I am not getting my period? Or perhaps why I cannot get pregnant right now? I am afraid I'll never get a chance to have a baby. I hope someone can help me.

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replied January 25th, 2010
Womens Conditions Answer A9467
Hi, and thanks for your medical question on eHealth forum!

Yes, irregular periods decreases your chance of becoming pregnant. Many a times there is no ovulation when there are irregular periods. Also it is very difficult to know the exact date of ovulation when your periods are irregular.

High level of stress, dramatic changes in your life style, high cholesterol, hormonal imbalance as seen in thyroid problems and PCOS, chain smoking, may be some of the common causes of your irregular periods. Cushing’s disease and disorders of adrenal gland, tumors of the ovaries and adrenals, insulin resistance and obesity are some of the other factors. Prolonged use of oral contraceptive pills is another cause.

Ultrasounds and pelvic examinations would have ruled out local causes such as infection, fibroid and PCOS. You need detailed investigations to rule out other causes.

Generally women conceive with treatment. Please consult your gynecologist and an endocrine specialist regarding this as a confirmed diagnosis cannot be given on net. Hope this helps. Take care!

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